極外側(cè)入路顯微鏡微通道技術(shù)治療極外側(cè)型腰椎間盤突出3例報(bào)告并文獻(xiàn)復(fù)習(xí)

打開文本圖片集

【中圖分類號】 R651 【文獻(xiàn)標(biāo)志碼】 B 【文章編號】1672-7770（2025）03-0352-04

Abstract：ObjectiveTo investigate the effct using extreme lateral approach under microscope and microchannel technologyforsurgical treatment extradiscal herniation.MethodsTheclinicaldata3cases extreme lateral disc herniation who weresurgically treated with theextreme lateralapproach microscopemicrochannel technologyinHejiangCityPeople'sHospital fromAugust2O21to September2O24 wereretrospectivelyanalyzedand the relevant literature were reviewed.ResultsAll3cases werelocatedattheL4/5 segment.During theoperation，it was confirmed that theywere extremely lateral disc hemiation.After successul discectomy，thenerve decompressioneffct wasdefinite，there was nocerebrospinal fluid leakage，andno incisionorcentral nervous system infectionoccued. The symptoms the three cases disappeared completely during the 3-12 months follow-up after surgery. No spinal instability was found inthepostoperativeX-rayexamination.ConclusionsThe extreme lateral approach with microchanel technology isused to treat extreme lateral discherniation.Theoperation time isshort，thetrauma is small，the effect is definite with a low recurrence rate，and the impact onspinal stability is small.

Key words：extreme lateral lumbar disc herniation；microsurgery；microchannels；outcome

極外側(cè)型腰椎間盤突出（farlaterallumbardischemiation，F(xiàn)LLDH）是一種少見類型腰椎間盤突出癥，影像學(xué)表現(xiàn)不典型，容易漏診及誤診，如保守治療效果較差，可以采取手術(shù)治療。（剩余8880字）